Infantile Hypertrophic Stenosis Research Articles

INFANTILE HYPERTROPHIC PYLORIC STENOSIS: POSTOPERATIVE MANAGEMENT WITHOUT PROLONGED FASTING OR NASOGASTRIC TUBE

Infantile hypertrophic pyloric stenosis is the most common condition requiring surgery in the first few months of life and also the most common surgical cause of vomiting in infancy. All pediatric surgeons agreed that Ramstad's operation (pyloric sero-myotomy) is the standard choice of surgical correction, however, the perioperative management is controversial, specially that is related to and recommended for the time of resumption of feeding postoperatively. The present work is prospective comparative study reviews 55 infants diagnosed as having hypertrophic pyloric stenosis over a 2 years period and subjected to pyloromyotomy. Postoperatively, 22 (40%) patients managed without the use of nasogastric tube and early introduction of oral feeding. The remaining 33 (60%) patients were managed classically with nasogastric tube decompression and delayed introduction of oral feeding until the next morning. This study was designed to compare between the two groups and to verify if there will be any significant effect on the postoperative course. Statistical analysis of the postoperative incidence of vomiting, postoperative complications, and hospital stay showed that there were no significant differences between the two groups of patients. Therefore, non-use of postoperative nasogastric tube and early feeding are safe postoperative approach in the management of infantile hypertrophic stenosis and may be the preferred method of postoperative management.

Declining Incidence of Infantile Hypertrophic Stenosis (IHPS) in Germany 2000-2008

Background: The incidencce of infantile hypertrophic pyloric stenosis (IHPS) is highly variable over time and regionally different. There have been reports of declining incidence in Sweden, the US, Denmark and Scotland. In Sweden, the decline observed was parallel to the declining incidence of Sudden Infant Death Syndrome (SIDS) and was attributed to campaigns against prone sleeping position.

Correctness of Alayet's demand on the Double-Y pyloromyotomy as a novel surgical technique approaching infantile hypertrophic stenosis

Correctness of Alayet's demand on the Double-Y pyloromyotomy as a novel surgical technique approaching infantile hypertrophic stenosis

The pylorus

The pylorus controls the flow between a reservoir dedicated to mechanical and chemical digestion (the stomach) and a conduit dedicated to the absorption of nutrients (the intestines). The pylorus adjusts gastric outflow resistance to physiological needs. It allows the outflow of isotonic fluids yet selectively retains particles too large for delivery to the intestines and in concert with the antrum further processes them (gastric sieving). Unlike most gut sphincters, the pylorus, at least of man, maintains a patent lumen most of the time. It only intermittently becomes a tightly closed barrier that arrests all flow out of and into the stomach. The geometry of the pylorus changes dramatically from the relaxed open state to closure. Pyloric closure involves contraction of its proximal and distal muscle loops, and occlusion of its lumen by mucosal folds. Current studies that combine pressure recordings with imaging by magnetic resonance imaging or ultrasound and fluid-mechanical analysis shed new light on the role of the pylorus in gastric emptying and digestion. Much has been learned in recent years on the innervation of the normal pylorus particularly from studies on infantile hypertrophic stenosis, and attempts are being made to treat gastroparesis by interventions on the pylorus.

Infantile hypertrophic pyloric stenosis: A case report

Background: The frequency of infantile hypertrophic stenosis is not known in Nigeria. The first case coming to our attention is described. Method: Descriptive case report. Results and conclusion: The infant was otherwise well with low birth weight.. A suggestive abdominal ultrasound was confirmed by barium contrast study and at surgery. Ultrasound examination in utero is advocated for early detection. Tropical Journal of Medical Research 2004;8(2): 60-63

Gastroduodenal disorders in children

Studies within the past year examining the mechanisms underlying infantile hypertrophic stenosis at the cellular and molecular level are reviewed. A number of new modalities, including electrogastrography, and the 13C octanoid acid breath test have been used in the study of normal and abnormal gastrointestinal motility, as well as for the characterization of patterns of development of gastric motility in early infancy. Several studies pertaining to the natural outcome, the mode of transmission, and the associated symptomatology of Helicobacter pylori were published, attesting that, despite the tremendous progress achieved in our understanding of H. pylori, important gaps remain in our knowledge of this microorganism. Newly described clinical presentations of eosinophilic gastroenteritis and food allergy will also be of interest to the reader.

Radiological Findings in Cases of Infantile Hypertrophic Stenosis of the Pylorus

Acta PaediatricaVolume 44, Issue s103 p. 140-140 Radiological Findings in Cases of Infantile Hypertrophic Stenosis of the Pylorus SIGURD EEK, SIGURD EEK Radiological Department, Children's Hospital, Rikshospitalet, Oslo, NorwaySearch for more papers by this author SIGURD EEK, SIGURD EEK Radiological Department, Children's Hospital, Rikshospitalet, Oslo, NorwaySearch for more papers by this author First published: July 1955 https://doi.org/10.1111/j.1651-2227.1955.tb17410.xAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume44, Issues103July 1955Pages 140-140 RelatedInformation